Allocation Situation 4. If you have more than four dependents, see the Instructions for Form 1040 or the Instructions for Form 1040-NR. If the correct applicable SLCSP premium is not the same for every month of 2022, check the, If any of the above apply and you did not notify the Marketplace or if you have reason to believe the Marketplace reported the wrong applicable SLCSP premium, determine the correct applicable SLCSP premium for the months affected. See Pub. The facts are the same as in Example 2 above, but starting on August 1, Mike is eligible for MEC (other than individual market coverage) and does not notify the Marketplace. This is just one of several programs tied to the poverty level. Whether Don is considered eligible for employer-sponsored coverage and ineligible for the PTC for the months September through December of 2022 is determined under the eligibility rules described under Employer-Sponsored Plans in Pub. 26 U.S. Code 36B - LII / Legal Information Institute If 0% of the policy amounts are allocated to you, complete Part IV by entering -0- in the appropriate box(es) for your allocation percentage. If your plan covered benefits that are not essential health benefits, such as adult dental or vision benefits, the amount in this column will be reduced by the premiums for the nonessential benefits. If your entry on Form 8962, line 5, is 400 or more, there is no repayment limitation. For 2014, your household income is at least 100% but no more than 400% of the Federal poverty line for your family size (see Household income below 100% of the Federal poverty line, later, for certain exceptions). What is the federal poverty level (FPL)? | healthinsurance.org The cost-sharing subsidy to help lower your deductible, copay, and coinsurance is available for people making below 250% of FPL. If any of the above apply and you did not notify the Marketplace or if you have reason to believe the Marketplace reported the wrong applicable SLCSP premium, determine the correct applicable SLCSP premium for the months affected. As a result, the applicable SLCSP premium reported on Form 1095-A for August through December is incorrect and Mike and Susan must determine the correct applicable SLCSP premium for these months by following the instructions in Pub. You will enter an allocation percentage in column (f) in the following two circumstances. 501, Dependents, Standard Deduction, and Filing Information. A qualified health plan may have covered at least one individual in your tax family and one individual not in your tax family if: You are married but filing a separate return from your spouse, You or an individual in your tax family was enrolled in a qualified health plan by someone who is not part of your tax family (for example, your ex-spouse enrolled a child whom you are claiming as a dependent), or. The allocation is only for the months Keith and Stephanie were married. You may take the PTC (and APTC may be paid) only for health insurance coverage in a qualified health plan (defined later) purchased through a Health Insurance Marketplace (Marketplace, also known as an Exchange). Other situations where a policy is shared between two tax families, later. Waiting periods and post-employment coverage. 4; 1) What is a Qualified Health Plan? The percent of the population below the federal poverty line. If you are not an applicable taxpayer because you are using filing status married filing separately and Exception 2Victim of domestic abuse or spousal abandonment, earlier, does not apply to you, then you must repay all of the total APTC entered on lines 12 through 23, column (f) (unless the alternative calculation for year of marriage rule applies to you and you are able to reduce your repayment amount, or you are filing married filing separately and a repayment limitation applies).